Organization
QUALITY CARE MEDICAL EQUIPMENT AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MANGOMO (OWNER)
(703) 492-9696
Entity
Organization
Contact information
Practice address
1379 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2710
(703) 492-3696
(703) 492-9796
Mailing address
1379 OLD BRIDGE RD, WOODBRIDGE, VA 22192-2710
(703) 492-3696
(703) 492-9796
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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